The Idea of the Deep State and "Real Alternatives."
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Author: Harry Targ
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Diary of a Heartland Radical
Mike Lofgren defines the “deep state” as  “… a hybrid association of elements of government and parts of top-level finance and industry that is effectively able to govern the United States without reference to the consent of the governed as expressed through the formal political process.”  (Mike Lofgren, “Anatomy of the ‘Deep State’: Hiding in Plain Sight,” Online University of the Left, February 23, 2014).   Others have examined invisible power structures, including class, that rule America (from C. W. Mills’ classic The Power Elite, Oxford University Press, 2000 to Robert Perrucci, Earl Wysong, and David Wright, The New Class Society: Goodbye American Dream? Rowman and Littlefield, 2013).  
The concept, “deep state,” describes the hidden policy-making process, particularly in foreign policy. It suggests that power to make critical decisions resides not in the superstructure of the political process; the place were competitive games are played for all to see, but in powerful institutions embedded in society that can make decisions without requiring popular approval. In foreign policy the “deep state” apparatus has led the American people into war or covert interventions that destroyed the rights of people in other countries to solve their own problems. In the end these hidden institutions have involved the United States in death and destruction all across the globe.
The idea of the deep state may be useful as a metaphor to alert the citizenry to policies that also are made mostly in secret, or if not in secret at least with very limited public visibility, in the states as well as in the federal government. Policy decisions of consequence made among semi-secret elites may concern issues that do not involve the high politics of foreign policy. Sometimes public policy decisions, made by powerful, but invisible groups, are only announced or uncovered after they are made. Opponents of policies adopted by deep state institutions become more difficult to challenge because decisions have already been made and appear irreversible.
The Mysterious “Real Alternatives” Contract With the State of Indiana
For example, on October 15, Governor Mike Pence of Indiana announced that Indiana had signed a $3.5 million contract for one year of anti-abortion counseling with Real Alternatives, a multi-million dollar non-profit organization. The contract would be funded by Temporary Assistance for Needy Families (TANF) money. He reported that Real Services has a “pro-life mission.” It does not provide advice concerning contraception and most women’s reproductive health services. Its goal is to “actively promote childbirth instead of abortion.” The Governor indicated that this contract follows a prior one year $1 million pilot program carried out in Northern Indiana. He claimed that the contract provides important health services for women and families. The stated purpose of RA is to “actively promote childbirth instead of abortion.” The CEO of Indiana Right to Life praised the pilot program and the new contract.
What Is “Real Alternatives” and Where Did It Come From?
It turns out that Real Alternatives is among a growing industry of Crisis Pregnancy Centers (CPC) that have sprung up around the country to oppose abortions, contraception, and family planning. Jenny Kutner (“How Crisis Pregnancy Centers Are Using Taxpayer Dollars to Lie to Women,” Salon, July 14, 2015) points out that there are three times more CPCs than abortion clinics. They do provide some modest services, such as pregnancy tests, some basic childcare resources, and diapers for new born children of poor women. However, CPC services are typically “…misleading, manipulative or downright coercive, pushing a distinctly antiabortion agenda that relies heavily on lying to clients.” CPC counsellors are usually religious and misrepresent themselves as healthcare professionals.
At least 11 states provide millions of dollars to fund largely religiously-based CPCs. One of the largest CPC organizations, Real Alternatives, began operations in Pennsylvania in the 1990s. Former Democratic Governor Robert P. Casey put RA services in the state budget to actively oppose abortions. Over the years the state’s support for RA came from the legislature’s “pro-life” caucus and was followed by public money being used by the Pennsylvania Department of Public Welfare to fund Morning Star Pregnancy Services and the Pennsylvania Alternative to Abortion Services Program. By 1997 72 CPCs received public reimbursements.
Support for RA spread to other states but Pennsylvania’s former Senator Rick Santorum failed in his effort to introduce the Women and Children’s Resources Act to fund CPC programs like RA in 1999, which would have been a federally-funded program. RA gave support to parallel CPCs in Florida, Wisconsin, and North Dakota. In 2001 Pennsylvania support for RA increased and the program was funded by moneys from the Temporary Assistance for Needy Families (TANF) program. By 2011, the RA model was used to establish anti-choice services in Texas, Michigan, Ohio, Nebraska, Louisiana, South Dakota, and in 2014 Indiana. Pence said that “We fund Real Alternatives because it’s the right thing to do! We know that the work that you all do is critical to making Pennsylvania a better place. We know that what you do every day is making a tremendous difference in the lives of our children and families.” 
The Deep States and the Anti-Choice Agenda
While so-called right-to-life groups are aware of CPCs and particularly the work of RA, most of the public had little knowledge of the pilot Indiana program. In addition, aside from a brief report on Indianapolis television, the Pence extension of the RA program with public money received little attention. The small but determined opponents of the right of women to control their bodies, including particularly religious organizations, create semi-public organizations such as RA and then set about building support among the political class to gain state funding for their efforts. By the time the public is aware of the state funding, it is too late to mobilize adequate political opposition.
In the case of RA, and most CPCs, state funding is in violation of the separation of church and state and the Supreme Court decision in Roe v. Wade. Progressives need to become familiar with the “deep state,” those semi-invisible centers of power that shape the public policy agenda and at the same time work against policies that challenge the fundamental rights of all citizens.

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